CN106853021A - Prevent and treat Chinese medicine composition of CKD and its preparation method and application - Google Patents

Prevent and treat Chinese medicine composition of CKD and its preparation method and application Download PDF

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CN106853021A
CN106853021A CN201710131292.6A CN201710131292A CN106853021A CN 106853021 A CN106853021 A CN 106853021A CN 201710131292 A CN201710131292 A CN 201710131292A CN 106853021 A CN106853021 A CN 106853021A
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parts
root
medicine composition
chinese medicine
cassia tree
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王洛临
李桂明
陈玉兴
徐文杰
李智勇
陈雪婷
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Guangdong Second Traditional Chinese Medicine Hospital (guangzhou Province Engineering Technology Research Institute Of TCM)
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Guangdong Second Traditional Chinese Medicine Hospital (guangzhou Province Engineering Technology Research Institute Of TCM)
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Abstract

The present invention relates to a kind of Chinese medicine composition for preventing and treating CKD and its preparation method and application.The active component of the Chinese medicine composition is prepared from by the raw material of following weight portion:20~40 parts of the Radix Astragali, 6~12 parts of rheum officinale, 10~20 parts of the red sage root, 12~24 parts of prepared rhizome of rehmannia, 3~7 parts of Chinese cassia tree, 6~12 parts of the root of bidentate achyranthes, 6~12 parts of Poria cocos.The effect of there is the Chinese medicine composition logical internal organs to let out turbid, strengthening spleen, tonifying kidney, nourishing qi and blood, stagnation resolvation dampness removing, for treating chronic renal failure, azotemia phase and uremia early stage, Chinese medical discrimination belong to deficiency of spleen and stomach, it is wet it is turbid in accumulate or deficiency of spleen and stomach, obstruction of collaterals by blood stasis are main person.Any formulation for being suitable for clinic, including granule, mixture, capsule, pill and tablet can be prepared into.

Description

Prevent and treat Chinese medicine composition of CKD and its preparation method and application
Technical field
The present invention relates to technical field of traditional Chinese medicines, more particularly to a kind of Chinese medicine composition and its system for preventing and treating CKD Preparation Method and application.
Background technology
CKD (chronic kidney diseases, CKDs) is also known as chronic renal insufficiency or chronic kidney hypofunction Exhaust, be the disease of a kind of high prevalence and harm.Determined according to the CKDs clinical practice guidelines that NKF formulates Justice:(1), kidney injury (Renal Structure or dysfunction) >=3 months, declines, kidney with or without glomerular filtration rate(GFR (GFR) Dirty pathological examination exception or kidney injury (blood, urine composition or imageological examination exception);(2), GFR < 60mlmin-1 73m-2 >=3 month, with or without kidney injury evidence.CKDs is caused by many reasons, and pathological change differs, with albuminuria, blood Urine, oedema and hypertension are Clinical symptoms.According to estimates, there are about 500,000,000 CKDs patients in the whole world, accounts for the 6.5%~10% of total population, CKDs develops into the middle and later periods, it is possible to develop into chronic kidney hypofunction, even uremia, so that serious harm patient's is strong The expense of health, its medicine and nursing will all increase sharply, and turn into global public health event, by the extensive of medical field Concern.
At present, the medicine of western medical treatment CKDs has hormone, immunodepressant, ACEI/ARB classes etc., although with certain Curative effect, but still have considerable part patient's unsatisfactory curative effect, and it is long to there is the course for the treatment of, is easy to knock-on after drug withdrawal, the compliance of patient compared with The side effects such as difference.
Traditional Chinese medicine thinks that CKDs is under the jurisdiction of the categories such as " obstruction and rejection ", " oedema ", " consumptive disease ".Pathological state is asthenia in origin and asthenia in superficiality, spleen Kidney qi deficiency and the wet stasis of blood are mutually tied, and its " wet, the stasis of blood heresy through the whole courses of disease of CKDs in the middle of " this theory is had been obtained in industry Common recognition.Modern study shows that traditional Chinese medicine controls disease Related Risk Factors to preventing and treating CKDs, delays the delay of disease to develop, Complication rate is reduced, is improved the aspect such as patients ' life quality and is played the role of irreplaceable, developed a kind of with the traditional Chinese medical science Medicine characteristic, the compound Chinese medicinal preparation that can effectively prevent and treat CKDs is undoubtedly very crucial.
The content of the invention
Based on this, the invention provides a kind of Chinese medicine composition for preventing and treating CKD.
Concrete technical scheme is as follows:
A kind of Chinese medicine composition for preventing and treating CKD, the active component of the Chinese medicine composition is by following weight portion Raw material is prepared from:20~40 parts of the Radix Astragali, 6~12 parts of rheum officinale, 10~20 parts of the red sage root, 12~24 parts of prepared rhizome of rehmannia, 3~7 parts of Chinese cassia tree, 6~12 parts of the root of bidentate achyranthes, 6~12 parts of Poria cocos.
Wherein in some embodiments, the active component of the Chinese medicine composition is by the raw material preparation of following weight portion Into:Radix Astragali 28-32 parts, rheum officinale 8-10 parts, red sage root 14-16 parts, prepared rhizome of rehmannia 18-22 parts, Chinese cassia tree 4-6 parts, root of bidentate achyranthes 9-11 parts, Poria cocos 9-11 parts.
Present invention also offers the preparation method of the Chinese medicine composition of above-mentioned preventing and treating CKD.
Concrete technical scheme is as follows:
A kind of preparation method of the Chinese medicine composition of above-mentioned preventing and treating CKD, comprises the following steps:
(1) being added water in Chinese cassia tree carries out distillation extraction, and the Chinese cassia tree dregs of a decoction and water-soluble after Cortex Cinnamomi volatile oil, distillation are collected respectively Liquid;
(2) ethanol water refluxing extraction is used after mixing rheum officinale and the red sage root, is filtered, filtrate is concentrated, obtain thick paste A, and Collect the rheum officinale and the red sage root dregs of a decoction after extracting;
(3) by the Chinese cassia tree dregs of a decoction described in step (1), the rheum officinale described in step (2) and the red sage root dregs of a decoction, the Radix Astragali, prepared rhizome of rehmannia, ox Knee and Poria cocos merge, and add water to cook, and decocting liquid is merged with the aqueous solution described in step (1), filter, and filtrate is concentrated, and obtain thick paste B;
(4) the thick paste B described in thick paste A described in combining step (2) and step (3), adds the Chinese cassia tree described in step (1) to wave Hair oil, mixes, and obtains final product;Or the thick paste B described in the thick paste A described in step (2) and step (3) be dry, pulverize into dry extract Powder, merges, and adds the Cortex Cinnamomi volatile oil described in step (1), mixes, and obtains final product.
Wherein in some embodiments, the volume fraction of ethanol water described in step (2) is 50~70%, described time It is 1-2 times to flow the number of times for extracting, each 1-2 hours, the volume and the rheum officinale and red sage root gross weight of each ethanol water The proportioning of amount is 6-12ml:1g.
Wherein in some embodiments, the number of times added water to cook described in step (3) is 2-3 times, each 1-2 hours, often The consumption of secondary water is 8-12 times of medicinal material gross weight, and the medicinal material is the Chinese cassia tree, rheum officinale, the red sage root, the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes And Poria cocos.
A kind of preparation method of the Chinese medicine composition of above-mentioned preventing and treating CKD, comprises the following steps:
(1) rheum officinale, Chinese cassia tree are crushed, obtains the fine medicinal material powder of rheum officinale and Chinese cassia tree;
(2) Radix Astragali, the red sage root, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos are mixed, is added water to cook 2-3 times, it is each 1-2 hours, add every time The amount for entering water is 8-12 times of medicinal material weight, and decocting liquid filtration, merging filtrate is concentrated to give thick paste, is vacuum dried, and is ground into dry extract Powder;The medicinal material weight is the gross weight of the Radix Astragali, the red sage root, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos;
(3) fine medicinal material powder and dry extract are mixed, is obtained final product.
A kind of preparation method of the Chinese medicine composition of above-mentioned preventing and treating CKD, comprises the following steps:
(1) rheum officinale, the red sage root and Chinese cassia tree are crushed, obtains fine medicinal material powder;
(2) Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos are mixed, is added water to cook 2-3 times, it is each 1-2 hours, water is added every time Amount be 8-12 times of medicinal material weight, decocting liquid is filtered, and merging filtrate is concentrated to give thick paste;The medicinal material weight is the Chinese cassia tree, ripe The gross weight of glutinous rehmannia, the root of bidentate achyranthes and Poria cocos;
(3) with the thick paste as adhesive, the fine medicinal material powder is prepared into condensed pill, is obtained final product.
Present invention also offers the application of above-mentioned Chinese medicine composition.
Concrete technical scheme is as follows:
Application of the above-mentioned Chinese medicine composition in the medicine for preparing preventing and treating CKD.
Present invention also offers a kind of medicine for preventing and treating CKD.
Concrete technical scheme is as follows:
A kind of medicine for preventing and treating CKD, by acceptable auxiliary material preparation in above-mentioned Chinese medicine composition and medicine Into.
Wherein in some embodiments, the formulation of the medicine includes granule, tablet, pill, capsule, mixture.
Above-mentioned granule, tablet, capsule, mixture can be prepared by the following method and obtain:Institute is prepared according to the above method Chinese medicine composition is stated, the applicable auxiliary material of granule is added in the thick paste A and thick paste B of the merging, granulation is dried, added The Cortex Cinnamomi volatile oil, obtains final product the granule;Or by the thick paste A and thick paste B of the merging, dry, pulverize, add piece The applicable auxiliary material of agent, granulation is dried, and adds the Cortex Cinnamomi volatile oil, compressing tablet, or is coated, and obtains final product the tablet;Or will be described The thick paste A and thick paste B of merging, dry, pulverize, the auxiliary material for adding capsule applicable, mix, or granulation, add the Chinese cassia tree Volatile oil, loads Capsules, obtains final product the capsule;Or add what mixture was applicable in the thick paste A and thick paste B of the merging Preservative, or flavouring and corrective incense agent are added, the Cortex Cinnamomi volatile oil is added, ormal weight is added water to, filter, obtain final product the conjunction Agent.
Above-mentioned granule, tablet, capsule can also be prepared by the following method and obtain:According to the above method prepare it is described in Drug composition, the fine medicinal material powder and the dry extract is merged, the auxiliary material for adding granule applicable, and granulation is dried, and is obtained final product The granule;Or merge the fine medicinal material powder and the dry extract, the auxiliary material for adding tablet applicable, granulation is dried, plus Enter the applicable lubricant of tablet, compressing tablet, or be coated, obtain final product the tablet;Or close the fine medicinal material powder and the dry extract And, the auxiliary material for adding capsule applicable, or granulation, dry, load Capsules, obtain final product the capsule.
Above-mentioned pill can be prepared by the following method and obtain:The dense of Chinese medicine composition is directly prepared according to the above method Contracting ball;Or by rheum officinale, Chinese cassia tree, the Radix Astragali, prepared rhizome of rehmannia, the red sage root, the root of bidentate achyranthes, Poria cocos is ground into fine medicinal material powder, with refined honey as adhesive, It is mixed and made into honeyed bolus.
Chinese medicine composition of preventing and treating CKD of the present invention and its preparation method and application has advantages below And beneficial effect:
The present inventor had found with the Radix Astragali by lot of experiments, rheum officinale, the red sage root, prepared rhizome of rehmannia, Chinese cassia tree, the root of bidentate achyranthes and Poria cocos has functions that significantly to prevent and treat CKD by preparation-obtained Chinese medicine composition after special ratios compatibility.Side The middle Radix Astragali replenish qi to invigorate the spleen rising Yang fortune pivot, this void declined for spleen kidney deficiency and set, for treatment principal contradiction be monarch drug in a prescription;Rheum officinale can rush down Can mend, rush down middle residence and mend, with clearing heat and detoxicating, logical internal organs is dispelled turbid, wet turbid heresy is discharged from stool, be i.e. the meaning of " the moon turbid go out lower orifices ", and Work(with dredging collateral promoting blood circulation and removing blood stasis, is generally the mark reality interpretation of the cause, onset and process of an illness that accumulates in the wet turbid malicious stasis of blood and sets for CKD, and cultivated land is enriched blood benefit Essence, the auxiliary Radix Astragali is ministerial drug to reach qi-blood tonifying purpose, altogether;Assistant is promoting blood circulation and removing obstruction in channels with red sage root nourishing and enriching blood;In the strong kidney of Chinese cassia tree Sun, with the method for the treatment of YANG within YIN, reached the purpose of warming and invigorating kidney Yang;Root of bidentate achyranthes kidney tonifying, diuresis is ensuringd proper downward flow of the blood;Poria cocos promoting urination and removing dampness, Invigorating the spleen.All medicines share, the effect of full side plays strengthening spleen, tonifying kidney, nourishing qi and blood, logical internal organs and lets out turbid, stagnation resolvation dampness removing altogether.For chronic kidney The sick insufficiency of both the spleen and the kindey is this, and turbid malicious stasis blocking is the target interpretation of the cause, onset and process of an illness, can be used for chronic renal failure, azotemia phase and uremia morning Phase, Chinese medical discrimination belong to deficiency of spleen and stomach, it is wet it is turbid in accumulate or deficiency of spleen and stomach, obstruction of collaterals by blood stasis be main person.
Chinese medicine composition of the invention has the advantages that determined curative effect, Small side effects.Use Chinese medicine group of the present invention Compound is prepared into the preparations such as granule and is taken orally, it turned out that, the obvious effective rate of CKD is treated for 20%, effective percentage is 45%th, total effective rate is 65%, is significantly better than conventional western medicine treatment group (P<0.01), it is preventing and treating chronic renal failure (CRF) A kind of effective preparation, it while delaying CRF to be in progress, also improve patients ' life quality effect.And by pharmacology reality Checking is bright, and the granule that Chinese medicine composition of the present invention is prepared from can reduce by 5/6 nephrectomy method and prepare rat chronic kidney The blood urea nitrogen (BUN) and creatinine (Cr) content of exhaustion model.
Chinese medicine composition of the present invention can also be prepared into decoction oral, but there is awkward shortcoming, therefore, will It is made solid pharmaceutical preparation (including granule, pill, tablet, capsule or mixture) can overcome the shortcoming, increase patient medication Adaptability.
Specific embodiment
Below in conjunction with specific embodiment to Chinese medicine composition and preparation method thereof of preventing and treating CKD of the invention and Using doing further detailed description.
Embodiment 1
The present embodiment provides a kind of Chinese medicine composition (herb mixture) for preventing and treating CKD, and its active component is by following The raw material of weight portion is prepared from:30 parts of the Radix Astragali, 9 parts of rheum officinale, 15 parts of the red sage root, 20 parts of prepared rhizome of rehmannia, 5 parts of Chinese cassia tree, 10 parts of the root of bidentate achyranthes, Fu 10 parts of Siberian cocklebur.
The preparation method of the herb mixture is as follows:
Being added water in Chinese cassia tree carries out distillation extraction, after the Chinese cassia tree dregs of a decoction and distillation after Cortex Cinnamomi volatile oil, distillation are collected respectively The aqueous solution;
With the ethanol water refluxing extraction that volume fraction is 50% 1 hour after rheum officinale and the red sage root are mixed, ethanol is water-soluble The consumption (volume) of liquid is 10ml with the proportioning of rheum officinale and red sage root gross weight:1g, filtration, filtrate recycling ethanol is simultaneously concentrated, and obtains thick Cream A, and rheum officinale and the red sage root dregs of a decoction after extracting are collected, it is standby;
The above-mentioned Chinese cassia tree dregs of a decoction, rheum officinale and the red sage root dregs of a decoction are merged with the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes, Poria cocos, two are added water to cook It is secondary, 2 hours every time, every time add water amount for quality of medicinal material (Chinese cassia tree, rheum officinale, the red sage root, the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos Gross weight) 12 times, decocting liquid is merged with the aqueous solution after distillation, filtration, filtrate is concentrated to give thick paste B, standby;
The thick paste (thick paste B) that the thick paste (thick paste A) and water that above-mentioned ethanol is extracted are extracted merges, and adds water to ormal weight, plus Enter the applicable auxiliary material of mixture, boil, refrigerate, filtration adds Cortex Cinnamomi volatile oil, mixes, filling, obtains final product.
Embodiment 2
The present embodiment provide it is a kind of prevent and treat CKD Chinese medicine composition (Chinese herbal granules), its active component by with The raw material of lower weight portion is prepared from:30 parts of the Radix Astragali, 9 parts of rheum officinale, 15 parts of the red sage root, 20 parts of prepared rhizome of rehmannia, 5 parts of Chinese cassia tree, 10 parts of the root of bidentate achyranthes, 10 parts of Poria cocos
The preparation method of the Chinese herbal granules is as follows:
Being added water in Chinese cassia tree carries out distillation extraction, the Chinese cassia tree dregs of a decoction after Cortex Cinnamomi volatile oil, distillation is collected respectively and will be distilled The aqueous solution afterwards;
It is secondary with the ethanol water refluxing extraction that volume fraction is 70% after rheum officinale and the red sage root are mixed, 1 hour every time, The consumption (volume) of each ethanol water is 6ml with the proportioning of rheum officinale and red sage root gross weight:1g, filtration, filtrate is merged, and is returned Receive ethanol and be concentrated to give thick paste, be vacuum dried, be ground into dry extract A, and collect the rheum officinale and the red sage root dregs of a decoction after extracting, it is standby With;
The above-mentioned Chinese cassia tree dregs of a decoction, rheum officinale and the red sage root dregs of a decoction are merged with the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes, Poria cocos, three are added water to cook It is secondary, 1 hour every time, every time add water amount for quality of medicinal material (Chinese cassia tree, rheum officinale, the red sage root, the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos Gross weight) 8 times, take decocting liquid with distillation after the aqueous solution merges, filter, filtrate concentration, obtain thick paste, vacuum drying, be ground into Dry extract B, it is standby;
Above-mentioned dry extract A and dry extract B is merged, the auxiliary material for adding granule applicable, granulation, add Chinese cassia tree volatilization Oil, is mixed, and packing is obtained final product.
Embodiment 3
The present embodiment provides a kind of Chinese medicine composition (Chinese medicinal tablet) for preventing and treating CKD, and its active component is by following The raw material of weight portion is prepared from:20 parts of the Radix Astragali, 6 parts of rheum officinale, 10 parts of the red sage root, 12 parts of prepared rhizome of rehmannia, 3 parts of Chinese cassia tree, 6 parts of the root of bidentate achyranthes, Fu 6 parts of Siberian cocklebur.
The preparation method of the Chinese medicinal tablet is as follows:
Rheum officinale, Chinese cassia tree are crushed, the fine medicinal material powder of rheum officinale and Chinese cassia tree is obtained, it is standby;
The Radix Astragali, the red sage root, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos are mixed, adds water to cook secondary, every time 1 hour, water is added every time It is 12 times of quality of medicinal material (gross weight of the Radix Astragali, the red sage root, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos) to measure, decocting liquid filtration, and filtrate merges, dense Contract to obtain thick paste, and thick paste dry, pulverize into dry extract, standby;
Above-mentioned fine medicinal material powder and dry extract are mixed, plus the applicable auxiliary material of tablet, granulation, compressing tablet, or be coated, obtain final product.
Embodiment 4
The present embodiment provide it is a kind of prevent and treat CKD Chinese medicine composition (Chinese medicine capsules), its active component by with The raw material of lower weight portion is prepared from:20 parts of the Radix Astragali, 6 parts of rheum officinale, 10 parts of the red sage root, 12 parts of prepared rhizome of rehmannia, 3 parts of Chinese cassia tree, 6 parts of the root of bidentate achyranthes, 6 parts of Poria cocos.
The preparation method of the Chinese medicine capsules is as follows:
Being added water in Chinese cassia tree carries out distillation extraction, after the Chinese cassia tree dregs of a decoction and distillation after Cortex Cinnamomi volatile oil, distillation are collected respectively The aqueous solution;
With the ethanol water refluxing extraction that volume fraction is 70% 1 hour after rheum officinale and the red sage root are mixed, ethanol is water-soluble The consumption (volume) of liquid is 12ml with the proportioning of rheum officinale and red sage root gross weight:1g, filtration, filtrate recycling ethanol is simultaneously concentrated, and obtains thick Cream, thick paste dry, pulverize into dry extract A, and collect the rheum officinale and the red sage root dregs of a decoction after extracting, standby;
The Chinese cassia tree dregs of a decoction, rheum officinale and the red sage root dregs of a decoction are merged with the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes, Poria cocos, add water to cook it is secondary, often Secondary 2 hours, the amount that water is added every time was the quality of medicinal material (gross weight of Chinese cassia tree, rheum officinale, the red sage root, the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos Amount) 8 times, filtration, by after filtrate and above-mentioned distillation the aqueous solution merge, be concentrated to give thick paste, be vacuum dried, be ground into dry extract Powder B, it is standby;
Above-mentioned dry extract A and dry extract B is merged, the auxiliary material and Cortex Cinnamomi volatile oil for adding capsule applicable are mixed, Load Capsules, obtain final product.
Embodiment 5
The present embodiment provide it is a kind of prevent and treat CKD Chinese medicine composition (traditional Chinese drug inspissation pill), its active component by The raw material of following weight portion is prepared from:40 parts of the Radix Astragali, 12 parts of rheum officinale, 20 parts of the red sage root, 24 parts of prepared rhizome of rehmannia, 7 parts of Chinese cassia tree, the root of bidentate achyranthes 12 Part, 12 parts of Poria cocos.
The preparation method of the traditional Chinese drug inspissation pill is as follows:
Rheum officinale, the red sage root, Chinese cassia tree are crushed, fine medicinal material powder is obtained, it is standby;
The Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos are mixed, three times are added water to cook, 1 hour every time, the amount that water is added every time was 8 times of quality of medicinal material (gross weight of Chinese cassia tree, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos), decocting liquid filtration, filtrate merges, and is concentrated to give thick paste, standby With;
With thick paste as adhesive, above-mentioned fine medicinal material powder is made condensed pill, dried, polishing is obtained final product.
Embodiment 6
The present embodiment provides a kind of Chinese medicine composition (traditional Chinese medicine pill) for preventing and treating CKD, and its active component is by following The raw material of weight portion is prepared from:40 parts of the Radix Astragali, 12 parts of rheum officinale, 20 parts of the red sage root, 24 parts of prepared rhizome of rehmannia, 7 parts of Chinese cassia tree, 12 parts of the root of bidentate achyranthes, 12 parts of Poria cocos.
The preparation method of the traditional Chinese medicine pill is as follows:
Rheum officinale, Chinese cassia tree, the Radix Astragali, prepared rhizome of rehmannia, the red sage root, the root of bidentate achyranthes, Poria cocos are ground into fine medicinal material powder, with refined honey as adhesive, Small honey pill is made, is dried, polishing is obtained final product.
Embodiment 7
The influence of Chinese herbal granules prepared by embodiment 2 to CKDs rat model BUN values and Cr values
(1) modeling operation
Take SD rats elder generation adaptability feed 7d, be randomly divided into Normal group, model control group, α keto acid compound group, Clearing preparation-Niaoduqing group, Chinese herbal granules (hereinafter referred to as sample) high dose group of embodiment 2, sample middle dose group, sample low dosage Group, every group 10.With 10% chloraldurate intraperitoneal injection of anesthesia animal, routine disinfection drape, from right midline incision, opens abdomen Chamber.Venous clamp cuts off pole (excision 2/3) up and down of right kidney after clamping the kidney base of a fruit with electric knife, and reset kidney after hemostasis.Carried out after 2 weeks 2nd operation, cuts off left kidney.Normal group takes same step to open abdominal cavity, is resetted after exposure kidney, it is to avoid drawing Kidney.Postoperative continuation letting animals feed, period close observation and situations such as record body weight, hair, the state of mind of rat.
(2) dosage is set and medication
α keto acid compound:Package insert sign α keto acid compound is oral, daily 7.56g.With clinical 7.56g days use Based on amount, reference《Herbal pharmacology research methodology》Middle dosage conversion method determines pharmacodynamic experiment dosage, is 0.68g kg-1.As method can obtain clearing preparation-Niaoduqing group for 2.25g particles kg-1, sample high dose group is 8.91g crude drugs kg-1, sample middle dosage Group is 5.94g crude drugs kg-1, sample low dose group is 2.97g crude drugs kg-1.According to dosage prepared respectively with distilled water during experiment Into required concentration.Modeling starts administration after 4 months, administered volume is 10mLkg-1, successive administration 12 weeks.
(3) assay method
Experiment terminates same day collection blood, serum is separated, with kit measurement Cr, BUN value.
(4) measurement result
Using SPSS22.0 softwares, all measurement datas add and subtract standard deviation with meanRepresent.Multigroup mean Compare and use mean between one-way analysis of variance (One-WayANOVA), group to compare two-by-two, SNK methods are used when variance is neat;Variance Dunnett ' s T3 methods are used when uneven.The results are shown in Table 1.
Table 1 to CKDs rat model BUN, Cr values influence (N=10)
Note:Compare with normal group, (1) P < 0.05;Compare with model group, (2) P < 0.05;
Through analysis, BUN values variance is without significant difference (Levene Statistic=1.739, P=0.127 > 0.05), side Difference is neat, and population mean comparing is carried out using F inspections, checks each horizontal average to compare two-by-two with SNK, the results are shown in Table 1.With normal group Compare, model group has significant difference (P < 0.05), point out modeling success;Compare with model control group, α keto acid compound Group, clearing preparation-Niaoduqing group, sample high dose group, sample middle dose group and sample low dose group have significant difference (P < 0.05), carry Show that five groups of medicines have substantially for the Cr values and BUN values in the CKDs rat model serum prepared by 5/6 kidney surgery of reduction Effect.
Embodiment 8
The therapeutic action of Chinese herbal granules prepared by embodiment 2 to chronic renal failure (CRF)
(1) physical data
Observation case totally 40, is Guangdong Province's second traditional Chinese medical science Out-patient Department and inpatient.It is wherein male 24, female 16. 25-75 years old ages, average 45 years old.Wherein, chronic nephritis 20, chronic pyelonephritis 6, hypertensive nephropathy, diabetic nephropathy Each 5, UN 4.The course of disease of all CRF patients is (25.2 ± 10.8) individual month, and serum creatinine (Scr) level is 178-442 μm of ol/L, average out to (256.50 ± 158.25) μm ol/L.Patient symptom mainly has:A, Die Gastrointestinale Manifestation: Such as apocleisis, abdominal discomfort;B, spirit, Manifestations of nervous system:One's spirits are drooping, tired, dizzy, headache, failure of memory, mistake Sleep, can there is numb four limbs, brothers' cusalgia and skin gargalesthesia, or even lower limb itch pain unbearably, must often move, can not stop;c、 Other:Such as blood pressure rising, ecchymosis, nosebleed epistaxis, bleeding gums, oedema, become thin, symptom is more complicated in a word, patient main suit Symptom differs.
(2) treatment method
All cases are randomly divided into two groups, treatment group and each 20 of control group, and two groups of physical data are poor through statistical test It is different without conspicuousness, with comparativity.
Treatment group:The Chinese herbal granules prepared by the embodiment of the present invention 2 are taken, 3 times a day, the course for the treatment of 2 months.
Control group:Conventional western medicine is treated, the course for the treatment of 2 months.Conventional western medicine treatment is symptomatic treatment, such as it is anti-infective, be depressured, entangle Positive Water-Electrolyte acid-base disturbance and dietetic treatment (the low albumen high heat food of high-quality, supplement essential amino acid) etc..
Two groups similar, does not carry out other treatments during medication.
(3) curative effect determinate standard:
It is effective:A, symptom mitigation or disappearance;B, endogenous creatinine clearance rate (Ccr) increase by 3 >=0%;C, serum creatinine (Scr) drop Low >=30%.Above a is indispensability, and b, c possess one, you can judged.
Effectively:A, symptom mitigation or disappearance;B, Ccr increase >=20%;C, Scr reduction >=20%;With blood before and after d, treatment The logarithm or inverse of creatinine, are analyzed with linear regression equation, and its slope has clear meaning.Above a is indispensability, and other possess one , you can judge.
It is invalid:Effective and effective decision condition person is not met.
(4) statistical method
Using t inspections and χ2Inspection.
(5) treatment results
It is shown in Table 2 and table 3.Result shows that Chinese medicine composition of the invention can effectively prevent and treat chronic renal disease, is preventing and treating CRF A kind of effective formula and drug, it while delaying CRF to be in progress, also improve patients ' life quality effect.
2 two groups of comparitive studies of table
Two groups are compared * P<0.01
About the change of laboratory indexes before and after 3 two groups of treatments of table
Note:Hb is hemoglobin, and Alb is albumin, and BUN is urea nitrogen;Compare * P before and after being treated with group<0.05, * * P< 0.01, △ P>0.05
Each technical characteristic of embodiment described above can be combined arbitrarily, to make description succinct, not to above-mentioned reality Apply all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited In contradiction, the scope of this specification record is all considered to be.
Embodiment described above only expresses several embodiments of the invention, and its description is more specific and detailed, but simultaneously Can not therefore be construed as limiting the scope of the patent.It should be pointed out that coming for one of ordinary skill in the art Say, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to protection of the invention Scope.Therefore, the protection domain of patent of the present invention should be determined by the appended claims.

Claims (10)

1. it is a kind of prevent and treat CKD Chinese medicine composition, it is characterised in that the active component of the Chinese medicine composition by with The raw material of lower weight portion is prepared from:20~40 parts of the Radix Astragali, 6~12 parts of rheum officinale, 10~20 parts of the red sage root, 12~24 parts of prepared rhizome of rehmannia, 3~7 parts of Chinese cassia tree, 6~12 parts of the root of bidentate achyranthes, 6~12 parts of Poria cocos.
2. it is according to claim 1 preventing and treating CKD Chinese medicine composition, it is characterised in that the Chinese medicine composition Active component be prepared from by the raw material of following weight portion:Radix Astragali 28-32 parts, rheum officinale 8-10 parts, red sage root 14-16 parts, cultivated land It is yellow 18-22 parts, Chinese cassia tree 4-6 parts, root of bidentate achyranthes 9-11 parts, Poria cocos 9-11 parts.
3. described in a kind of claim 1 or 2 preventing and treating CKD Chinese medicine composition preparation method, it is characterised in that Comprise the following steps:
(1) being added water in Chinese cassia tree carries out distillation extraction, and the Chinese cassia tree dregs of a decoction and the aqueous solution after Cortex Cinnamomi volatile oil, distillation are collected respectively;
(2) ethanol water refluxing extraction is used after mixing rheum officinale and the red sage root, is filtered, filtrate is concentrated, obtain thick paste A, and collect Rheum officinale and the red sage root dregs of a decoction after extraction;
(3) the Chinese cassia tree dregs of a decoction, the rheum officinale and the red sage root dregs of a decoction, the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos are merged, are added water to cook, Decocting liquid is merged with the aqueous solution described in step (1), is filtered, filtrate is concentrated, obtain thick paste B;
(4) the thick paste B described in thick paste A described in combining step (2) and step (3), adds the Chinese cassia tree volatilization described in step (1) Oil, mixes, and obtains final product;Or the thick paste B described in the thick paste A described in step (2) and step (3) be dry, pulverize into dry extract, Merge, add the Cortex Cinnamomi volatile oil described in step (1), mix, obtain final product.
4. it is according to claim 3 preventing and treating CKD Chinese medicine composition preparation method, it is characterised in that step (2) volume fraction of ethanol water described in is 50~70%, and the number of times of the refluxing extraction is 1-2 times, and each 1-2 is small When, the volume of each ethanol water is 6-12ml with the proportioning of the rheum officinale and red sage root gross weight:1g.
5. it is according to claim 3 preventing and treating CKD Chinese medicine composition preparation method, it is characterised in that step (3) number of times added water to cook described in is 2-3 times, each 1-2 hours, and the consumption of each water is 8-12 times of medicinal material gross weight, The medicinal material is the Chinese cassia tree, rheum officinale, the red sage root, the Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos.
6. described in a kind of claim 1 or 2 preventing and treating CKD Chinese medicine composition preparation method, it is characterised in that Comprise the following steps:
(1) rheum officinale, Chinese cassia tree are crushed, obtains the fine medicinal material powder of rheum officinale and Chinese cassia tree;
(2) Radix Astragali, the red sage root, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos are mixed, is added water to cook 1-3 times, it is each 1-3 hours, water is added every time Amount be 8-12 times of medicinal material weight, decocting liquid is filtered, and merging filtrate is concentrated to give thick paste, dry, pulverize into dry extract;It is described Medicinal material weight is the gross weight of the Radix Astragali, the red sage root, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos;
(3) fine medicinal material powder and dry extract are mixed, is obtained final product.
7. described in a kind of claim 1 or 2 preventing and treating CKD Chinese medicine composition preparation method, it is characterised in that Comprise the following steps:
(1) rheum officinale, the red sage root and Chinese cassia tree are crushed, obtains fine medicinal material powder;
(2) Radix Astragali, prepared rhizome of rehmannia, the root of bidentate achyranthes and Poria cocos are mixed, is added water to cook 2-3 times, it is each 1-2 hours, the amount of water is added every time It it is 8-12 times of medicinal material weight, decocting liquid filtration, merging filtrate is concentrated to give thick paste;The medicinal material weight is the Chinese cassia tree, cultivated land The gross weight of the yellow, root of bidentate achyranthes and Poria cocos;
(3) with the thick paste as adhesive, the fine medicinal material powder is prepared into condensed pill, is obtained final product.
8. application of the Chinese medicine composition described in claim 1 or 2 in the medicine for preparing preventing and treating CKD.
9. it is a kind of prevent and treat CKD medicine, it is characterised in that Chinese medicine composition and medicine as described in claim 1 or 2 Acceptable auxiliary material is prepared from thing.
10. it is according to claim 9 preventing and treating CKD medicine, it is characterised in that the formulation of the medicine includes Granule, tablet, pill, capsule, mixture.
CN201710131292.6A 2017-03-07 2017-03-07 Prevent and treat Chinese medicine composition of CKD and its preparation method and application Pending CN106853021A (en)

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CN114796348A (en) * 2022-05-09 2022-07-29 山东第一医科大学附属省立医院(山东省立医院) Kidney-tonifying and blood-activating paste and preparation method and application thereof
CN114848725A (en) * 2022-06-28 2022-08-05 成都中医药大学附属医院 Pharmaceutical composition for treating renal interstitial fibrosis and preparation method and application thereof

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114796348A (en) * 2022-05-09 2022-07-29 山东第一医科大学附属省立医院(山东省立医院) Kidney-tonifying and blood-activating paste and preparation method and application thereof
CN114796348B (en) * 2022-05-09 2023-02-10 山东第一医科大学附属省立医院(山东省立医院) Kidney-tonifying and blood-circulation-promoting paste for treating chronic renal failure and preparation method and application thereof
CN114848725A (en) * 2022-06-28 2022-08-05 成都中医药大学附属医院 Pharmaceutical composition for treating renal interstitial fibrosis and preparation method and application thereof

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Application publication date: 20170616